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Leuprolide Acetate Implant

New York rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Rates data updated July 2026.

How much does Leuprolide Acetate Implant cost?

$3,890per 65 mg

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $3,890 for each 65 mg of this drug. The price depends on where it is billed: about $3,890 from a physician practice, and about $4,074 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 65 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$3,890
At a hospital outpatient department
$4,074

The same drug, in the same amount, costs 5% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,890$44.67 to $4,786
FacilityA hospital or hospital-owned outpatient department$4,074$3,890 to $6,026

How much rates vary

Facilitymedian $4,074 · 10th to 90th $3,890 to $9,550Professionalmedian $3,890 · 10th to 90th $45 to $7,079
$50$200$1K$5K$20Kfacility $4,074professional $3,890

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$4,073.80
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,981.07
Typical High
$4,073.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$4,786.30
Typical High
$10,232.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$5,011.87
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$5,495.41
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$9,332.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$5,128.61
Typical High
$6,025.60
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
United
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$7,585.78
Univera
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$5,128.61
Typical High
$5,128.61
Univera
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$5,128.61
Typical High
$5,128.61

Where New York sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 50th of 51

$3,890

KS $5,623NE $3,890

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.